Healthcare Provider Details

I. General information

NPI: 1023105533
Provider Name (Legal Business Name): MAXIM HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 06/30/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1077 WESTHEIMER RD. SUITE 955
HOUSTON TX
77042
US

IV. Provider business mailing address

7227 LEE DEFOREST RD
COLUMBIA MD
21046-3236
US

V. Phone/Fax

Practice location:
  • Phone: 832-778-6515
  • Fax: 877-774-0531
Mailing address:
  • Phone: 410-910-1500
  • Fax: 410-910-1600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID KOWALCZYK
Title or Position: CONTROLLER
Credential:
Phone: 410-910-1500